Chronic venous Insufficiency is a common problem, and radio-frequency ablation (RFA) of incompetent veins effective treatment. In 2018, the Venclose device catheter were approved for use in United States. Given lack literature on this new devicem we previously published initial results now are following-up with 1-year data from our patients. We performed retrospective analysis patients who had ...

Lower-extremity veins have efficient wall structure and function and competent valves that permit upward movement of deoxygenated blood toward the heart against hydrostatic venous pressure. Matrix metalloproteinases (MMPs) play an important role in maintaining vein wall structure and function. MMPs are zinc-binding endopeptidases secreted as inactive pro-MMPs by fibroblasts, vascular smooth mus...

The popularity of skiing and snowboarding has increased tremendously over the past few decades. Whereas skiing has been an established winter sport for some time, snowboarding was created only in the 1960s. The great surge in popularity of snowboarding was sparked by its inclusion in the 1998 Winter Olympics. With increased participation in these winter activities has come a tremendous rise in ...

Since the onset of combat activity in Iraq and Afghanistan, there have been over 1100 major limb amputations among United States service members. With a sustained military presence in the Middle East, continued severe lower extremity trauma is inevitable. For this reason, combat surgeons must understand the various amputation levels as well as the anatomic and technical details that enable an o...

Evidence-Based Answer Complete decongestive physiotherapy (i.e., a noninvasive protocol consisting of skin care, lymph drainage massage, exercises, and compression bandaging1) effectively improves edema, rates of infection, and quality of life in patients with lower-extremity lymphedema. (Strength of Recommendation [SOR]: B, based on prospective cohort studies.) Microsurgery may be effective fo...

Obesity and osteoarthritis are complex diseases to which multiple interacting factors contribute. The moderate association between obesity and knee joint osteoarthritis reflects the amplification by obesity of role of joint loading in the development and progression of osteoarthritis. However, joint loading is insufficient to explain the disparities between the incidence of knee OA in obese peo...

OBJECTIVE The purpose of this study was to verify the imaging quality of CT venography in the clinical evaluation of the lower extremity superficial venous system and to correlate the CT and duplex sonographic findings about varicose veins. SUBJECTS AND METHODS One hundred consecutively registered patients with varicose veins underwent CT venography. The image quality of overall 3D volume ren...

Diagnostic ultrasound techniques used in the evaluation of the musculoskeletal system are rapidly evolving. Conventional B-mode and Doppler ultrasound imaging methods are workhorses in the diagnosis and treatment decision making for traumatic and pathologic conditions of joints, tendons, muscles, ligaments, and peripheral nerves. Recently developed sonoelastography techniques enable the qualita...

Eight to 12 million people in United States have PAD (Allison et al. 2007). Only ~10% of patients with PAD have classic intermittent claudication (IC), ~50% have atypical leg symptoms and ~40% are asymptomatic (Hiatt 2001). Its prevalence significantly increases with age; 12 – 20% of those above the age of 65 years suffer from PAD (Ostchega al. 2007). The prevalence of PAD is similar in men and...

Lower extremity musculoskeletal injuries have become a public health concern for active individuals when considering the complications that often present later in life after injury (eg, degenerative joint disease). 10 A recent surge of lower extremity injury prevention programs, 14,22 specifically aimed at ACL injury prevention, have provided some promising results in reducing knee injury among...